
Healing Little Hearts: Dr. Prashant Bobhate Leads Early CHD Detection
Every year, approximately 2,00,000 babies in India are born with congenital heart disease (CHD), yet less than 20% receive timely diagnosis and intervention, according to Indian Academy of Pediatrics. As a result, many children silently progress toward irreversible complications like pulmonary arterial hypertension (PAH)βa condition that makes surgery ineffective and dramatically reduces life expectancy. In response to this critical gap, Dr. Prashant Bobhate, Senior Consultant in Pediatric Cardiology at Kokilaben Dhirubhai Ambani Hospital, Mumbai, is advocating for a nationwide push for early detection through fetal echocardiography, neonatal screenings, and access to government and NGO-supported treatment.
A leading Pediatric Cardiologist in Mumbai, India, Dr. Bobhate emphasizes that early detection is not just beneficialβitβs lifesaving. βEvery heart defect we miss early is a child we risk losing later. But if we catch it earlyβsometimes even before birthβwe can cure it. Thatβs the power of early diagnosis,β he says.
Key to this approach is fetal echocardiography, a non-invasive test performed between 16β20 weeks of gestation that can detect up to 85β90% of major congenital heart anomalies. It is especially recommended for high-risk pregnancies involving maternal diabetes, genetic conditions, abnormal ultrasound findings, or family history of CHD. βFetal echo allows us to intervene before the damage begins. It changes the outcome for families entirely,β says Dr. Bobhate.
After birth, pulse oximetry (SpOβ screening) and targeted neonatal echocardiography are the next line of defense. These tests can identify critical CHDs within the first 24β48 hours of lifeβespecially those that might otherwise go unnoticed. Global studies show that adding SpOβ screening to routine newborn check-ups increases detection rates of critical CHD by 33%.
βThe biggest tragedy is that these tools are simple, affordable, and widely availableβyet not consistently implemented. Itβs time to make neonatal cardiac screening a national mandate,β urges Dr. Bobhate.
Dr. Bobhateβs practice not only prioritizes early screening but also offers advanced treatment interventions for children diagnosed with complex cardiac defects.
But while diagnosis and treatment are available, affordability remains a major barrier for families. The good news: government healthcare schemes are stepping up. Under the Rashtriya Bal SwasthyaKaryakram (RBSK) and Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY), children from economically weaker sections are now eligible for free cardiac surgeries at accredited trust and corporate hospitals.
βThese programs are a game changer. Theyβve made advanced heart care accessible to thousands of children who might otherwise go untreated,β Dr. Bobhate explains. βIβve personally seen over 200 families benefit from these schemes at our center.β
Yet some patients fall through the cracksβdue to documentation issues, lack of awareness, or ineligibility under specific criteria. In such cases, NGOs like Rotary, Genesis Foundation, and others step in to bridge the gap. βI cannot overstate the impact these organizations have. They raise funds, offer logistical support, and above all, give hope to families who thought they had no options left,β says Dr. Bobhate. βTogether, we’ve been able to save lives that might have otherwise been lost.β
Access to medications is another challenge.
βI often say, weβre not just treating a childβs heartβweβre preserving a future. That future should never be limited by geography or income,β Dr. Bobhate reflects.
To that end, he is calling for a unified national effortβcombining policy, technology, and philanthropyβto establish mandatory fetal and neonatal heart screening protocols, expand awareness of government schemes, and support NGO partnerships that ensure no child is left behind.
βWe have the medical knowledge, the tools, and the will. Now we need the systems to catch up. When caught early, most heart defects are curable. But when we wait too long, we turn hope into heartbreak,β he concludes.
Dr. Prashant Bobhateβs tireless advocacy, clinical excellence, and collaborative approach are reshaping pediatric cardiac care in Indiaβgiving every child, regardless of background, a fighting chance at a healthy heart and a full life.
Contact Dr. Prashant Bobhate
Β Senior Consultant β Pediatric Cardiology
Β Childrenβs Heart Centre, KokilabenDhirubhai Ambani Hospital, Mumbai
πhttps://phindia.net/
π Appointments via hospital helpline or referral system